| NPI | 1033301031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO FUENTES DIAZ President 305-685-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph22778) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2009-02-10 |